Champbell, Frank No.-__17722 _—_ DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK
BUREAU OF RECORDS AND STATISTICS
This permit must be handed to the Keeper of the Cemetery or BURIAL—CREMATION—TR.ANSPORTATIO ,PERMIT
Crematory by the Funeral Director ) iy -'-)
in charge of the funeral. �_� �`
New York, __-194
The C • to of Dea b n furnis d t is Departure t, qu' ed the Sanitar Co per . sion is
hereby given to __-_-- _ ...— • _ of _ .... — •
to remove t r f -. ... .. . ._ ._ _ ... _ ged ..-. -. . ; ...1110. A .-. ays,
who died at ....—.... ...... ._ _ __.._ _.... _ _ ._.._ _.. orgis�h,of -4 _...---._.
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